| Endodontics Associates Llc | |
|
5255 Stilesboro Rd Nw Ste 130 Kennesaw GA 30152-7739 | |
| (770) 605-6507 | |
| Not Available |
| Full Name | Endodontics Associates Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 5255 Stilesboro Rd Nw Ste 130, Kennesaw, Georgia |
| Authorized Official Name and Position | Damaries Candelario-soto (ENDODONTIST) |
| Authorized Official Contact | 7706056507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontics Associates Llc 110 Payton Loriane Dr Powder Springs GA 30127-8342 Ph: (770) 605-6507 | Endodontics Associates Llc 5255 Stilesboro Rd Nw Ste 130 Kennesaw GA 30152-7739 Ph: (770) 605-6507 |
| NPI Number | 1285906099 |
|---|---|
| Provider Enumeration Date | 02/09/2012 |
| Last Update Date | 02/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285906099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN011492 (Georgia) | Primary |
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